Alice Jody Ackerman (NPI# 1730151010, PAC ID# 8426065137) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1730151010 |
| PAC ID by PECOS | 8426065137 |
| Professional Enrollment ID | I20060321000156 |
| Full Name | Alice Jody Ackerman |
| Organization Legal Name | BROADDUS HOSPITAL ASSOCIATION INC |
| Address |
1 Healthcare Dr Philippi WV 26416-9405 |
| Phone Number | 3044571760 |
| Gender | F |
| Credential | DO |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5991692832 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 511300 | BROADDUS HOSPITAL ASSOCIATION, INC |
| Address | Phone | Organization |
|---|---|---|
| 1 Healthcare Dr, Philippi, WV 26416-9405 | 3044571760 | BROADDUS HOSPITAL ASSOCIATION INC |
| Organization Legal Name | BROADDUS HOSPITAL ASSOCIATION INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eddie E Anderson | Family Practice | Broaddus Hospital Association Inc | Rt 119s Mansfield Hill, Philippi, WV 26416 |
| William E Kelley Jr. | Emergency Medicine | Broaddus Hospital Association Inc | 1 Healthcare Dr, Philippi, WV 26416-9405 |
| Randall Turner | Emergency Medicine | Broaddus Hospital Association Inc | 1 Healthcare Dr, Philippi, WV 26416-9405 |
| Patrick F O Donnell | Family Medicine | Broaddus Hospital Association Inc | 1 Healthcare Dr, Philippi, WV 26416-9405 |
| Peter Baltusnik | Emergency Medicine | Broaddus Hospital Association Inc | 1 Healthcare Dr, Philippi, WV 26416-9405 |
| Frank Matthew Abraham | Internal Medicine | Broaddus Hospital Association Inc | 1 Healthcare Dr, Philippi, WV 26416-9405 |
| Jennifer M Duvall | Physician Assistant | Broaddus Hospital Association Inc | 6 Healthcare Dr, Philippi, WV 26416-9406 |
| Street Address |
1 HEALTHCARE DR |
| City | PHILIPPI |
| State | WV |
| Zip | 26416-9405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William E Kelley Jr. | Emergency Medicine | Broaddus Hospital Association Inc | 1 Healthcare Dr, Philippi, WV 26416-9405 |
| Randall Turner | Emergency Medicine | Broaddus Hospital Association Inc | 1 Healthcare Dr, Philippi, WV 26416-9405 |
| Patrick F O Donnell | Family Medicine | Broaddus Hospital Association Inc | 1 Healthcare Dr, Philippi, WV 26416-9405 |
| Peter Baltusnik | Emergency Medicine | Broaddus Hospital Association Inc | 1 Healthcare Dr, Philippi, WV 26416-9405 |
| Frank Matthew Abraham | Internal Medicine | Broaddus Hospital Association Inc | 1 Healthcare Dr, Philippi, WV 26416-9405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eddie E Anderson | Family Practice | Broaddus Hospital Association Inc | Rt 119s Mansfield Hill, Philippi, WV 26416 |
| Toni B Goodykoontz | Psychiatry | 109 Wabash Ave, Philippi, WV 26416-0019 | |
| Gary N Baker Jr. | Chiropractic | 206 S Main St, Philippi, WV 26416-1239 | |
| Michael P Holliday | Physical Therapy | 22 Columbia St, Philippi, WV 26416-1620 | |
| Lauren J Tomes | Family Medicine | United Physicians Care Inc | 14032 Barbour County Hwy, Philippi, WV 26416-7665 |
| Cecil T Holbert | Family Medicine | Belington Community Medical Services Association, Inc. | 3 Healthcare Dr, Philippi, WV 26416-9405 |
| Jessica E Weiner | Physician Assistant | Belington Community Medical Services Association, Inc. | 3 Healthcare Dr, Philippi, WV 26416-9405 |
| Jamie L Pingley | Physician Assistant | Belington Community Medical Services Association, Inc. | 3 Healthcare Dr, Philippi, WV 26416-9405 |
| John P Henderson Ii | Family Medicine | Belington Community Medical Services Association, Inc. | 3 Healthcare Dr, Philippi, WV 26416-9405 |
| Pete J Palko Iii | Family Medicine | Belington Community Medical Services Association, Inc. | 3 Healthcare Dr, Philippi, WV 26416-9405 |
| Find all physicians in zip 26416 | |||
| City | PHILIPPI |
| Zip Code | 26416 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PHILIPPI + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Alice Jody Ackerman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.